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Greater Together Block Party Signup (August 11 @4-6:30p)
Please fill out and register you and your family.
9
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1
Name
*
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First Name
Last Name
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2
Mobile Number
*
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Please enter a valid phone number.
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3
Email
*
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example@example.com
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4
Zipcode
*
This field is required.
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5
Our family has active GCYC members now?
YES
NO
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6
Do you have children under 21?
If so, how many?
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7
I would like..
to attend the Greater Together Block Party on 8/11
to learn about 6th-12th grade membership
to ask other questions (please write them below)
to learn about services and resources beyond GCYC for myself and/or my family
Learn more about your Parent Advisory Council
Learn more about your Community Action Committee
Learn about your Youth Leadership Club
Connect with one of your partners
Provide other value (please share below)
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8
How many guests in your party?
Please enter total number of adults and children
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9
Please ask any questions here
Or email ewoods@gcychome.org
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